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NSTEMI患者心肌侧支循环形成的影响因素分析 被引量：6

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摘要 目的探讨NSTEMI患者心肌侧支循环形成的影响因素分析。方法选取收治的行冠状动脉造影检查确诊的NSTEMI患者67例,按照Rentrop分级将所有患者分为侧支循环形成不良（Rentrop 0~1级,n=51）组和侧支循环形成良好（Rentrop 2~3级,n=16）组。对可能影响NSTEMI患者侧支循环的2组患者相关的临床资料和血管病变特点进行分析。结果侧支循环良好组患者的心率明显低于侧支循环不良组患者（P〈0.01）,侧支循环良好组患者的梗死前心绞痛发生率明显高于侧支循环不良组患者（P〈0.01）,侧支循环良好组患者的中远端病变率明显高于侧支循环不良组患者（P〈0.05）;侧支循环良好组患者的Gensini积分明显高于侧支循环不良组患者,差异有统计学意义（P〉0.01）;心率（P=0.008）、梗死前心绞痛（P=0.002）和Gensini积分（P=0.001）是NSTEMI患者侧支循环形成的影响因素。结论冠状动脉病变程度重、出现过梗死前心绞痛且心率慢的NSTEMI患者更易形成侧支循环,预后较好。
作者 莫凡睿 李娟
机构地区 广西壮族自治区柳州市工人医院心内科
出处 《河北医药》 CAS 2015年第1期71-73,共3页 Hebei Medical Journal
关键词 非ST段抬高型心肌梗死 冠心病 侧支循环
分类号 R541.4 [医药卫生—心血管疾病]
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参考文献16

  • 1Arslan U,Kocaoglu I,Balci M,et al. The association between impairedcollateral circulation and non-alcoholic fatty liver in patients with severecoronary artery disease. J Cardiof,2012,60:210-214.
  • 2Meier P, Seiler C. The coronary collateral circulation-clinical relevancesand therapeutic options. Heart,2013 ,99 :897-898.
  • 3任利辉,叶慧明,曹世长,王萍,赵楠楠.急性ST段抬高型心肌梗死与非ST段抬高型急性冠脉综合征患者PCI后的长期死亡率比较[J].中国老年学杂志,2013,33(19):4673-4675. 被引量：37
  • 4Traupe T, Ortmann J, Stoller M, et al. Direct quantitative assessment ofthe peripheral artery collateral circulation in patients undergoing angiog-raphy. Circulation,2013 ,128:737-744.
  • 5Fujita M,Miyamoto S. Progress in the functional assessment of humancoronary collateral circulation. Circ J,2012,76;297-298.
  • 6Shen Y,Lu L,Ding FH,et al. Association of increased serum glycated al-bumin levels with low coronary collateralization in type 2 diabetic patientswith stable angina and chronic total occlusion. Cardiovasc Diabetol,2013,12:165.
  • 7Davis GK,Au J, Roberts D. Myocardial perforation associated with the useof the Gensini ventriculography catheter. Int J Cardiol, 1996, 53 : 103-106 ; discussion 107-108.
  • 8Uhlemann M,Adams V,Lenk K,et al. Impact of different exercise train-ing modalities on the coronary collateral circulation and plaque composi-tion in patients with significant coronary artery disease (EXCITE trial):study protocol for a randomized controlled trial. Trials,2012,13 :167.
  • 9Meier P,Hemingway H,Lansky AJ,et al. The impact of the coronary col-lateral circulation on mortality: a meta-analysis. Eur Heart J,2012,33:614-621.
  • 10Epstein SE,Lassance-Soares RM,Faber JE,et al. Effects of aging on thecollateral circulation, and therapeutic implications. Circulat装財1,2012,125:3211-3219.

二级参考文献18

  • 1Keeley EC,Boura JA,Grines CL.Primary angioplasty versus intravenousthrombolytic therapy for acute myocardial infarction: a quantitative reviewof 23 randomized trials(J ].Lancet,2003,361(9351): 13.
  • 2Uyarel H,Uzunlar B,Unal DS,ef al.Effect of tirofiban therapy on ST seg-ment resolution and clinical outcomes in patients with ST segment elevat-ed acute myocardial infarction udergoing primary angioplasty [ J].Cardi-ology, 2006; 105(3):168-75.
  • 3Stone GW,Grines CL,Cox DA,et al.Comparision of angioplasty withstenting, with or without abciximab, in acute myocardial infarction[J].NEng J Med,2002;346;957-66.
  • 4Lech Polonski,Mariusz Gasior,Marek Gierlotka,et al.A comparison of ST elevation versus non-ST elevation myocardial infarction outcomes in a large registry database are non-ST myocardial infarctions associated with worse long-term prognoses[J]? Int J Cardio1,2011 ; 152 (1):70-7.
  • 5Liebson PR,Klein LW.The non-Q wave myocardial infarction revisited:10 years later[J].Prog Cardiovasc Dis,1997 ;39 (5):399-444.
  • 6Chan MY,Jie L,Sun L,et al.Long-term mortality of patients undergoing cardiac catheterization for ST-elevation and non-ST-elevation myocardial infarction[J].Circulation,2009 ; 119 (24):3110-7.
  • 7Montalescot G,Dallongeville J,van Belle E,et al.STEMI and NSTEMI are they so different? 1 year outcomes in acute myocardial infarction as defined by the ESC/ACC definition (the OPERA registry)[J].Eur Heart J,2007 ;28 (12):1409-17.
  • 8Steg PG,Gooldberg R J,Gore JM,et al.Baseline characteristics,management practices and in-hospital mortality of patients hospitalized with acute coronary syndromes in the Global Registry of Acute Coronary events (GRACE)[J].Am J Cardio1,2002 ;90 (4):358-63.
  • 9O'Donoghue M,Boden WE,Braunwald E,et al.Early invasive vs conservative treatment strategies in women and men with unstable angina and non-ST-segment elevation myocardial infarction:a meta-analysis[J].JAMA,2008 ;300(1):71-80.
  • 10Roe MT,Parsons LS,Pollack CV Jr,et al.Quality of care by classification of myocardial infarction:treatment patterns for ST-segment elevation vs non-STsegment elevation myocardial infarction[J].Arch Intern Med,2005 ;165(14):1630-6.

共引文献81

同被引文献55

引证文献6

二级引证文献25

河北医药
2015年 第1期

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